Healthcare Provider Details

I. General information

NPI: 1225033368
Provider Name (Legal Business Name): ALI ATEF HIJAZI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ARH LANE ALLEGHANY HOSPITALISTS
LOW MOOR VA
24457
US

IV. Provider business mailing address

PO BOX 11145
BLACKSBURG VA
24062-1145
US

V. Phone/Fax

Practice location:
  • Phone: 540-862-6223
  • Fax: 540-862-9181
Mailing address:
  • Phone: 540-520-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2012-02027
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101231545
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: